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| { | |
| "patients": [ | |
| { | |
| "id": "CB-001", | |
| "display_name": "James Harrington", | |
| "patient": { | |
| "age": 65, | |
| "gender": "male", | |
| "dob": "1959-03-12" | |
| }, | |
| "allergies": [ | |
| { | |
| "substance": "Penicillin", | |
| "severity": "severe", | |
| "reaction": "anaphylaxis" | |
| }, | |
| { | |
| "substance": "Aspirin", | |
| "severity": "moderate", | |
| "reaction": "urticaria" | |
| } | |
| ], | |
| "medications": [ | |
| "Warfarin 5mg daily", | |
| "Insulin glargine 20 units nightly", | |
| "Metoprolol 50mg twice daily", | |
| "Lisinopril 10mg daily" | |
| ], | |
| "conditions": [ | |
| "Type 2 Diabetes", | |
| "Coronary artery disease", | |
| "Hypertension", | |
| "Atrial fibrillation" | |
| ], | |
| "labs": [ | |
| { | |
| "name": "INR", | |
| "value": 4.2, | |
| "reference_range": { "low": 0.8, "high": 1.2 }, | |
| "flag": "critical high" | |
| }, | |
| { | |
| "name": "Glucose", | |
| "value": 58, | |
| "unit": "mg/dL", | |
| "reference_range": { "low": 70, "high": 140 }, | |
| "flag": "low" | |
| }, | |
| { | |
| "name": "Troponin", | |
| "value": 0.08, | |
| "unit": "ng/mL", | |
| "reference_range": { "low": 0, "high": 0.04 }, | |
| "flag": "critical high" | |
| } | |
| ], | |
| "vitals": { | |
| "heart_rate": 138, | |
| "SpO2": 88, | |
| "blood_pressure": "188/124", | |
| "temperature": 37.2, | |
| "respiratory_rate": 22 | |
| }, | |
| "history": [ | |
| "Recent fall at home 3 days ago", | |
| "ICU admission last year for cardiac event", | |
| "CABG surgery 2019" | |
| ], | |
| "clinical_notes": [ | |
| "High-risk emergency profile due to supratherapeutic anticoagulation and unstable vitals. HR: 138, SpO2: 88%, BP: 188/124. Patient presents with chest discomfort and confusion." | |
| ] | |
| }, | |
| { | |
| "id": "CB-002", | |
| "display_name": "Maria Santos", | |
| "patient": { | |
| "age": 47, | |
| "gender": "female", | |
| "dob": "1977-08-22" | |
| }, | |
| "allergies": [], | |
| "medications": [ | |
| "Albuterol inhaler PRN", | |
| "Montelukast 10mg daily", | |
| "Prednisone 20mg short course" | |
| ], | |
| "conditions": [ | |
| "Asthma", | |
| "Allergic rhinitis" | |
| ], | |
| "labs": [ | |
| { | |
| "name": "WBC", | |
| "value": 12.4, | |
| "unit": "K/uL", | |
| "reference_range": { "low": 4.5, "high": 11.0 }, | |
| "flag": "high" | |
| } | |
| ], | |
| "vitals": { | |
| "respiratory_rate": 26, | |
| "SpO2": 93, | |
| "temperature": 38.6, | |
| "heart_rate": 108, | |
| "blood_pressure": "128/82" | |
| }, | |
| "history": [ | |
| "Two ER visits for asthma exacerbation this year", | |
| "No ICU history" | |
| ], | |
| "clinical_notes": [ | |
| "Patient presenting with acute bronchospasm. RR: 26, SpO2: 93%, Temp: 38.6C. Audible wheezing bilaterally. Not responding to initial albuterol." | |
| ] | |
| }, | |
| { | |
| "id": "CB-003", | |
| "display_name": "Robert Chen", | |
| "patient": { | |
| "age": 72, | |
| "gender": "male", | |
| "dob": "1952-11-05" | |
| }, | |
| "allergies": [ | |
| { | |
| "substance": "Iodinated contrast", | |
| "severity": "moderate", | |
| "reaction": "acute kidney injury" | |
| } | |
| ], | |
| "medications": [ | |
| "Furosemide 40mg daily", | |
| "Digoxin 0.125mg daily", | |
| "Carvedilol 6.25mg twice daily", | |
| "Spironolactone 25mg" | |
| ], | |
| "conditions": [ | |
| "Congestive heart failure (EF 25%)", | |
| "Chronic kidney disease Stage 3", | |
| "Hyperkalemia history" | |
| ], | |
| "labs": [ | |
| { | |
| "name": "Potassium", | |
| "value": 5.9, | |
| "unit": "mmol/L", | |
| "reference_range": { "low": 3.5, "high": 5.1 }, | |
| "flag": "high" | |
| }, | |
| { | |
| "name": "BNP", | |
| "value": 1420, | |
| "unit": "pg/mL", | |
| "reference_range": { "low": 0, "high": 100 }, | |
| "flag": "critical high" | |
| }, | |
| { | |
| "name": "Creatinine", | |
| "value": 2.4, | |
| "unit": "mg/dL", | |
| "reference_range": { "low": 0.7, "high": 1.3 }, | |
| "flag": "high" | |
| } | |
| ], | |
| "vitals": { | |
| "heart_rate": 58, | |
| "blood_pressure": "95/62", | |
| "SpO2": 91, | |
| "respiratory_rate": 24, | |
| "temperature": 36.8 | |
| }, | |
| "history": [ | |
| "Discharged 5 days ago after decompensated heart failure", | |
| "3 prior hospitalizations for CHF this year", | |
| "Dialysis evaluation pending" | |
| ], | |
| "clinical_notes": [ | |
| "Presenting with worsening dyspnea and bilateral lower extremity edema. HR: 58 (bradycardic), BP: 95/62 (hypotensive). Digoxin toxicity must be ruled out given bradycardia + hyperkalemia." | |
| ] | |
| }, | |
| { | |
| "id": "CB-004", | |
| "display_name": "Tyler Brooks", | |
| "patient": { | |
| "age": 34, | |
| "gender": "male", | |
| "dob": "1990-06-18" | |
| }, | |
| "allergies": [ | |
| { | |
| "substance": "Codeine", | |
| "severity": "moderate", | |
| "reaction": "respiratory depression" | |
| } | |
| ], | |
| "medications": [ | |
| "Oxycodone 10mg PRN", | |
| "Cyclobenzaprine 5mg", | |
| "Fentanyl patch 25mcg/hr" | |
| ], | |
| "conditions": [ | |
| "Chronic back pain", | |
| "Post-traumatic stress disorder", | |
| "Mild traumatic brain injury" | |
| ], | |
| "labs": [ | |
| { | |
| "name": "Blood Alcohol", | |
| "value": 0.18, | |
| "unit": "g/dL", | |
| "reference_range": { "low": 0, "high": 0.08 }, | |
| "flag": "critical high" | |
| }, | |
| { | |
| "name": "GCS", | |
| "value": 11, | |
| "reference_range": { "low": 15, "high": 15 }, | |
| "flag": "low" | |
| } | |
| ], | |
| "vitals": { | |
| "heart_rate": 52, | |
| "blood_pressure": "88/54", | |
| "SpO2": 89, | |
| "respiratory_rate": 8, | |
| "temperature": 35.8 | |
| }, | |
| "history": [ | |
| "Motor vehicle accident 2 hours ago", | |
| "Known polysubstance use", | |
| "Fall from motorcycle at high speed" | |
| ], | |
| "clinical_notes": [ | |
| "Trauma patient post-MVA. Multiple opioids on board including fentanyl patch. HR: 52, RR: 8, SpO2: 89%, BP: 88/54 — hemodynamically unstable. GCS 11. Risk of opioid-induced respiratory depression compounding traumatic injury. BAL: 0.18." | |
| ] | |
| }, | |
| { | |
| "id": "CB-005", | |
| "display_name": "Eleanor Voss", | |
| "patient": { | |
| "age": 81, | |
| "gender": "female", | |
| "dob": "1943-02-14" | |
| }, | |
| "allergies": [ | |
| { | |
| "substance": "Sulfa drugs", | |
| "severity": "severe", | |
| "reaction": "Stevens-Johnson syndrome" | |
| } | |
| ], | |
| "medications": [ | |
| "Metformin 500mg twice daily", | |
| "Amlodipine 5mg", | |
| "Warfarin 2.5mg", | |
| "Donepezil 10mg" | |
| ], | |
| "conditions": [ | |
| "Type 2 Diabetes", | |
| "Hypertension", | |
| "Mild cognitive impairment", | |
| "Chronic UTI history" | |
| ], | |
| "labs": [ | |
| { | |
| "name": "Lactate", | |
| "value": 4.8, | |
| "unit": "mmol/L", | |
| "reference_range": { "low": 0.5, "high": 2.0 }, | |
| "flag": "critical high" | |
| }, | |
| { | |
| "name": "WBC", | |
| "value": 18.2, | |
| "unit": "K/uL", | |
| "reference_range": { "low": 4.5, "high": 11.0 }, | |
| "flag": "critical high" | |
| }, | |
| { | |
| "name": "Procalcitonin", | |
| "value": 12.4, | |
| "unit": "ng/mL", | |
| "reference_range": { "low": 0, "high": 0.25 }, | |
| "flag": "critical high" | |
| } | |
| ], | |
| "vitals": { | |
| "heart_rate": 118, | |
| "blood_pressure": "86/48", | |
| "SpO2": 92, | |
| "respiratory_rate": 28, | |
| "temperature": 39.4 | |
| }, | |
| "history": [ | |
| "Lives alone, found by neighbor in altered mental status", | |
| "No prior sepsis history", | |
| "Refused hospitalization last month for UTI" | |
| ], | |
| "clinical_notes": [ | |
| "Elderly patient with septic shock. Temp: 39.4C, HR: 118, BP: 86/48, RR: 28. Lactate 4.8 (critical), WBC 18.2, Procalcitonin 12.4. Suspected urosepsis. Sulfa allergy documented — avoid TMP-SMX. Antibiotic stewardship critical." | |
| ] | |
| } | |
| ] | |
| } | |